中国组织工程研究

中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (29): 4752-4756.doi: 10.3969/j.issn.2095-4344.2015.29.031

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    

通脉松筋易骨推拿法治疗腰椎管狭窄症：随机对照

范 青1，吴 颖2，李华南1，3，张 玮1，3，海兴华1，赵 娜1，3，王金贵1，3   

  1. 1天津中医药大学第一附属医院推拿科，天津市 300193；
    2天津中医药大学，天津市 300193；
    3国家中医药管理局推拿手法生物效应实验室，天津市 300193
  • 通讯作者: 王金贵，主任医师，硕士研究生导师，天津中医药大学第一附属医院推拿科，天津市 300193
  • 作者简介:范青，男，1974年生，天津市人，副主任医师。主要从事推拿治疗脊柱源性疾病及腹部推拿治疗功能性内科病的临床及基础研究。
  • 基金资助:

    “十一五”国家科技支撑计划(2007BAI20B032)；2012 年国家临床重点专科建设项目

 “Tongmai songjin yigu” massage therapy for lumbar spinal stenosis: a randomized controlled trial  

Fan Qing1, Wu Ying2, Li Hua-nan1，3, Zhang Wei1，3, Hai Xing-hua1, Zhao Na1, Wang Jin-gui1，3   

  1. 1Department of Massage, the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;
     2Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;
     3Laboratory for Biological Effects of Massage, State Administration of Traditionali Chinese Medicine, Tianjin 300193, China
  • Contact: Wang Jin-gui, Chief physician, Master’s supervisor, Department of Massage, the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
  • About author:Fan Qing, Associate chief physician, Department of Massage, the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
  • Supported by:

    the National Sci-Tech Support Plan during the Eleventh Five-Year Period, No. 2007BAI20B032; the National Key Clinical Specialist Construction Projects in 2012

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摘要：

 背景：中医保守疗法对于轻中度患者有效，且远期疗效高于手术患者，可增强围手术期疗效，预防椎管再次狭窄。

目的：评价通脉松筋易骨推拿法治疗腰椎管狭窄症的临床疗效。
方法：将84例退行性腰椎管狭窄症患者随机分为治疗组和对照组，各42例。治疗组采用通脉松筋易骨推拿法；对照组采用中华中医药学会颁布的中医骨伤科常见病诊疗指南中手法操作进行治疗，1次/d，连续2周。
结果与结论：治疗后治疗组患者目测类比评分较治疗前明显降低(P < 0.05)，日本骨科协会下腰痛评分自觉症状和日常生活动作评分较对照组差异有显著性意义(P < 0.05)。治疗组临床有效率优于对照组(P < 0.05)。说明通脉松筋易骨推拿法治疗比传统手法有效，试验样本量偏小，尚需临床大样本量进一步研究。

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词:  组织构建, 组织工程, 通脉松筋易骨推拿法, 腰椎管狭窄症, 疗效观察, 腰椎骨, 软组织, 疼痛目测类比评分, 日本骨科协会下腰痛评分

Abstract:

BACKGROUND: Chinese medicine therapy is effective for patients with mild-to-moderate lumbar spinal stenosis and also has a better long-term effect than surgical patients, which can enhance perioperative efficacy and prevent spinal restenosis.

OBJECTIVE: To evaluate the clinical efficacy of “Tongmai songjin yigu” massage therapy on lumbar spinal stenosis.
METHODS: Eighty-four patients with degenerative lumbar spinal stenosis were randomly and equally divided into treatment group and control group. Treatment group were treated with “Tongmai songjin yigu” massage therapy; patients in the control group were treated according to the guidelines for diagnosis and treatment of common disease in orthopedics and traumatology promulgated by China Association of Chinese Medicine, once a day, continuous for 2 weeks.
RESULTS AND CONCLUSION: After treatment, the visual analog scale score in the treatment group was improved significantly (P < 0.05), and there was a significant difference in the Japanese Orthopaedic Association Scores on subjective symptom and daily life between the treatment and control groups (P < 0.05). The effective rate of the treatment group was higher than that of the control group (P < 0.05). These findings indicate that “Tongmai songjin yigu” massage therapy is better than traditional massage, but clinical large-sample studies are required. 

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Manipulation, Spinal;, Spinal Stenosis, Lumbar Vertebrae, Pain

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